Quiz: Chapter 16 (6ed Ed.) General Surgery

A gastrostomy can be created by all of the following methods EXCEPT:

a.

endovascular.

b.

open.

c.

endoscopic.

d.

percutaneous.

endovascular.

A Maloney bougie dilator is used in which of the following anatomical structures?

esophagus

A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the:

breast.

A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques?

two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture

A vagotomy is a surgical treatment option for:

gastric ulcers.

A Whipple procedure is done for treatment of a tumor in which of the following abdominal organs?

pancreas

An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which of the following muscles?

rectus abdominus

Another name for a thyroid clamp is a:

Lahey.

Another name for an acquired ventral hernia through the semilunar lines is:

Spigelian.

Bifurcated drains and fluffy pressure dressings are used following a mastectomy primarily to:

prevent formation of hematoma and seroma.

Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which of the following surgical procedures?

modified radical mastectomy

If an immediate breast reconstruction is scheduled to follow a mastectomy, the surgical technologist should:

redrape patient, team changes gowns and gloves, and use new instruments.

In relation to the liver, the gallbladder is located in the:

inferior surface of the right lobe.

In which of the following abdominal incisions would the linea alba be opened down to the peritoneum?

median

Pancreaticoduodenectomy is also known as which of the following procedures?

Whipple

Saline is injected through the cholangiogram catheter prior to the contrast media because:

the saline will flush the catheter after aspiration of bile.

Surgical removal of the entire breast including axillary lymph nodes is a(n):

modified radical mastectomy.

Tetany is a serious potential post-op complication of which of the following types of surgical interventions?

thyroidectomy/parathyroidectomy

The incision routinely used for open cholecystectomy is the:

right subcostal.

The name for the first lymph node in the axillary chain that is frequently biopsied in conjunction with a breast biopsy, lumpectomy, or mastectomy is:

sentinel.

The name for the type of hernia in which both direct and indirect defects are present is:

pantaloon.

The name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision is:

bezoar.

The name of the fibrous and serous capsule that covers the liver is:

Glisson’s.

The parathyroid glands regulate:

blood calcium concentration.

The skin incision for a thyroidectomy will follow which of the following anatomical lines?

Langer’s

The triangle of Calot is an anatomical space bounded by structures in which of the following surgical procedures?

cholecystectomy

Viral hepatitis and alcohol abuse are precursors to which of the following diseases?

cirrhosis

What does TEP stand for in general surgery?

total extraperitoneal patch

When a stoma is everted and the mucosal layer is sewn to the outside skin, it is called:

maturing the stoma.

When practicing bowel technique, the surgical technologist would ensure that:

a separate Mayo stand is draped to hold the resection instrument and supplies.

Where are the parathyroid glands located in relation to the thyroid?

dorsal, superior, and inferior

Which of the following anatomical structures is the largest mass of lymphatic tissue in the body?

spleen

Which of the following choices is another way of saying “cephalad to caudad”?

head to tail

Which of the following conditions is achieved by insufflation of carbon dioxide into the abdominal cavity?

pneumoperitoneum

Which of the following fascial sheets is attached to the iliac crest, linea alba, and pubis?

Scarpa’s

Which of the following glands are the endocrine-secreting glands of the pancreas?

islets of Langerhans

Which of the following handheld retractors are frequently used to retract tissues during thyroidectomy?

Green

Which of the following incisions is traditionally used for open appendectomy?

McBurney

Which of the following kits is typically an industry-prepared kit surgeons use in place of the traditional gastrostomy?

PEG

Which of the following portions of the colon begins at the hepatic flexure and ends at the splenic flexure?

transverse

Which of the following portions of the pancreas adjoins the pylorus?

neck

Which of the following potentially life-threatening diseases or conditions is a complication of untreated thyrotoxicosis?

thyroid storm

Which of the following stages of breast cancer is characterized by evidence of distal metastasis?

Stage IV

Which of the following surgical positions is used exclusively for anorectal surgical procedures?

Kraske

Which of the following suturing techniques is often used on the appendiceal stump?

pursestring

Which of the following terms describes a benign condition of breast enlargement in men?

gynecomastia

Which of the following terms is used for surgical opening of the abdominal wall into the peritoneal cavity?

laparotomy

Which of the following types of “ostomy” is described as a temporary stoma for fecal diversion?

loop-ileostomy

Which of the following types of handheld retractors is specifically designed for use in open cholecystectomy to elevate the liver?

Harrington

Which of the following types of hernia protrudes through the transversalis fascia in the area of Hesselbach’s triangle?

direct

Which of the following types of hernias occurs below the abdominocrural crease and more frequently in females?

femoral

Which of the following types of hernias results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum?

indirect

Which of the following types of intestinal obstructions involves a telescoping of a portion of the intestine into another portion?

intussusception

Which of the following types of surgical procedures is used to release abnormal tissue connections in the abdominal viscera and layers?

lysis of adhesions

Which of the following types of viewing instruments would be used for surgical treatment of hemorrhoids?

anoscope

A certified surgical technologist may operate the laparoscopic camera during minimally invasive procedures to free up the hands of the surgeon and surgical first assistant.

True

Conversion from a laparoscopic procedure to an open procedure is always a possibility that the surgical technologist should be prepared for.

True

Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients.

False

The Hasson technique for establishing pneumoperitoneum requires the use of a Verres needle.

False

While the peritoneum is open, only laparotomy sponges should be on the field.

True

Bowel techniquerefers to steps used by the surgical team to prevent postoperative:

surgical site infection.

Breast-conserving surgery is possible in _____ of cases.

95%

Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called:

hemorrhoid.

Doyen, Kocher, Dennis, and Allen are names of which of the following types of instruments?

intestinal clamps

During a robotic inguinal hernia repair, the mesh would be secured in place with sutures placed through the:

Cooper’s ligament.

During cholangiography, bubbles in the contrast media would likely:

give the appearance of a stone on X-ray.

End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for:

bowel anastomosis.

For irrigation to aid in destroying any residual tumor cells after dissection, the surgeon may request:

sterile water.

For which of the following surgical procedures would the Buie pile forceps be used?

hemorrhoidectomy

For which of the following types of hernia repairs could a Penrose drain be used as a method of gentle traction of the spermatic cord?

inguinal herniorrhaphy